治脾法在小儿反复呼吸道感染中的运用

强调小儿体质因素是小儿反复呼吸道感染的主要因素,本病的病机主要是由于脾肺气虚,痰饮内伏。鉴于小儿"脾常不足"之生理特点及小儿反复呼吸道感染反复运用抗生素和叠用清凉苦寒之剂,脾胃损伤更甚,故在治疗上着重提出治脾法在此病防治中的重要作用,治脾不单单是补脾,补脾之气血阴阳,还在于消食导滞化痰理气,疏导脾胃之壅滞,恢复脾胃之正常生理功效,增强患儿的体质,提高患儿的免疫功能。在临床上归纳出以下四个治疗原则:急则治标,运脾开肺化痰;知常达变,健脾导滞逐痰;正虚邪恋,扶脾开肺托邪;未病防变,补脾益气固本。

Application of Regulating Spleen on the Treatment of Repeated Respiratory Tract Infection in Children

This paper emphasizes constitution factor,the chief pathogenesis of repeated respiratory tract infection(RRI) of children;the main pathogenesis are Qi deficiency of spleen-lung and retention of phlegm.According to children's physiology feature,spleen is frequently insufficient and RRI Children are given too much antibiotic and bitter-cold herbs,that causes damage to stomach.Regulating spleen is expected to figure prominently in prevention and treatment of RRI children.Regulating spleen not only means reinforcing the spleen,but also promoting digestion to eliminate stagnation and regulating Qi and eliminating phlegm to restore the normal physiological function of spleen and stomach,strengthen children's constitution and immunity.There are 4 therapeutic principles of RRI children: activating spleen,promoting lung and resolving phlegm during the acute phase;reinforcing the spleen,eliminating stagnation and eliminating phlegm;reinforcing the spleen and promoting lung during the deferment period;reinforcing the spleen and enriching Qi for prevention.